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General NPI Number Information
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NPI Number | 1619066263
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Entity Type | Organization
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Legal Business Name | BIG A DRUG STORES INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2159 PACIFIC COAST HWY
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City | LOMITA
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State | CA
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Zip | 90717-2502
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Country | US
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Telephone | 310-325-0150
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Fax | 310-325-6703
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Provider Business Mailing Address
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Address Line | PO BOX 31001-0803
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City | PASADENA
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State | CA
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Zip | 91110-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD DALLAL
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Credential | RPH
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Telephone | 562-633-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY43392
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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